Country Villa Claremont Health Center
Country Villa Claremont Health Center Information
| Facility Name | Country Villa Claremont Health Center |
| Location | 590 S. Indian Hill Blvd., Claremont, CA 91711 |
| County (SSA Code) | Los Angeles (200) |
| Phone Number | 909-624-4511 |
| Certification(s) | Medicare and Medicaid |
| Number of Beds | 99 |
| Average Number of Residents | 83.7 |
| CCRC Facility? | No |
| Medicare Overall Rating | |
| Survey Rating | |
| Quality Rating | |
| Long Stay Quality Rating | |
| Short Stay Quality Rating | |
| Staff Quality Rating | |
| Registered Nurse Quality Rating |
| Abuse Flag | No |
| Sprinklers Installed | Yes |
| Located In Hospital | No |
| Resident Family Council | Resident |
| Provider Business Name | COUNTRY VILLA CLAREMONT HEALTHCARE CENTER, INC. |
| Ownership Type | For profit - Individual |
| Date First Approved | 1976-10-01 |
| Reported Nurse Aide Staffing Hours per Resident per Day | 2.33197 |
| Reported LPN Staffing Hours per Resident per Day | 0.92229 |
| Reported RN Staffing - Hours per Resident per Day | 0.42087 |
| Reported Licensed Staffing - Hours per Resident per Day (RN + LPN) | 1.34316 |
| Reported Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.67514 |
| Reported Physical Therapy Staffing - Hours per Resident Per Day | 0.06625 |
| Case-Mix Nurse Aide Staffing - Hours per Resident per Day | 2.02491 |
| Case-Mix LPN Staffing - Hours per Resident per Day | 0.71724 |
| Case-Mix RN Staffing - Hours per Resident per Day | 0.40711 |
| Case-Mix Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.14926 |
| Adjusted Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.72056 |
| Total Weighted Health Survey Score for three cycles | 91.333 |
| Rating cycle 1 Standard Survey Health Date | 2019-07-01 |
| Rating cycle 1 - Health Deficiency Score | 15 |
| Rating cycle 1 - Total Health Inspection Score | 116 |
| Date of Rating cycle 2 Standard Health Survey Date | 2018-07-21 |
| Rating cycle 2 - Health Deficiency Score | 116 |
| Date of Rating cycle 3 Standard Health Survey Date | 2017-07-20 |
| Rating cycle 3 - Health Deficiency Score | 88 |
| Rating cycle 3 - Total Health Inspection Score | 88 |
| Number of Facility-Reported Incidents | 5 |
| Number of Substantiated Complaints | 9 |
| Number of Substantiated Complaints | 9 |
| Number of Payment Denials | 1 |
| Total Number of Penalties | 1 |
| Data Filing Date | 2020-10-01 |
| Page Last Updated | 2020-11-28 |